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HomeMy WebLinkAbout3932-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N. Y. CERTIFICATE OF OCCUPANCY No. Date . . . . . . . .RW04bOX. . 19,. . . . . .. 1958 . THIS CERTIFIES that the building located at .CAlV0A .NA1Ck. .Road. . . . . . . . . Street Map No. . . . . . . . . . . . . Block No. . . . . . . . . . . . . Lot No. .6zUthold, -X4W- York . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . A40R . . ZC. . . . . . .. 1968. pursuant to which Building Permit No. 3932. Z. dated . . . . . .JNn9. . .24, . . . . . . .. 1968. ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . .PF.iV4.L9. Ong. .family .dwalling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . .JUftQ.L. .RarrAII. Hill . . . . . . . . . . . .. . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval BAptember. 6, . 196a, .Robert. Villa . . . . . . . . . . . . . . . . . . . Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT;, TOWN CLERKS OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO. 3932 Z Date .....................111..... t.............., 19... 8 Permission is hereby granted to: ' .......{it+�f�•r••i r3u€�`x: A/00-40011441............ .............. ................I........ ................ .......................................................................... to .. u.4 d..as t..x:Y2rs...t4vx!1y- ...d,,ja'11 ig........................:.......................................................... ................................................................................................................................................................ atpremises located at ... ...................... .......................................:................. ....................................... ct#a0y........Nvk........................;......................................................... . .....................................................................................................................................:.......................... pursuant to application dated .........................AhU 9.........2i ....;...... 19..A., and approved by the Building Inspector. Fee $.. . ......... 'Lk .................... .. . ..... .. . . Building nspector S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date September 6, 1968 Bldg . Permit No . 393ZZ TO WHOM IT MAY CONCERN : The sewage disposal facilities for a structure located at Corner Hail Rd and Calves Neck Rd (Give deed location) 4nntnnld have been inspected by this department and found to be satisfactory . Owner-Judi-,e L. Barron Hill. District Eneinae Builder-:George _Ahlors- District Erilgineer 3. Nature of work (check which applicable): New Building ........ .. Addition .................. Alteration .................. Repair .................... Removal .................... Demolition.................... Other Work (Describe) ........................ 4. Estimated Cost ................. ..................Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..............................Number of dwelling units on each floor ... q:.Z........... Ifgarage, number of cars .....................Z......................................................................:.............................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front.......................... Rear .......................... Depth .............................. Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth ............................ Height ................................Number of Stories ........................................ 8. Dimensions of entire new construction: Front........... . �.G . . ...G 11 F�...... // . . . . ...... Rear .... . ........ �� ... Depth .............�........... Height ..............Ll. ........ Number of Stories.............. .............. 9. Size of lot: Front .......115 ............... Rear ........012............ Depth ..........'1v k�................... 10. Date of Purchase ........................................................Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated..................................I............................................................ 12. Does proposed construction violate any 'zoning law, ordinance or regulation? .....:.Ya ' ....... . 13. Name of Owner of premises39PJ7:4n.... ...........Address §j?YA ,J shone No. .................... Nameof Architect ......................................................Address .............................................. Phone No. .................... Name of ContractorA.ew.......�9hli -;..................Address .......... .......... Phone No. .2.3 zf...rA?o PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. tas �y y X 5rl 2 G t( M I y 11 3 STATE OF NEW YORK, ) t90 COUNTY OF ....... S.S. ............... �t�'1�...........................................' being duly sworn, deposes and says that he is the applicant (Nae d8 individual signing application) abovenamed. He is the ...............................................................��................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge- ohdbelief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ///� . .. day of .....v ......... .......... 19....'MX ION A REGENT ((( T Y MUG,.State•et•'New• rk ... ... ........ .. .t................... Notary Public, . .. ... Gth c e,�...... 1... ......... . 33120 Sutf Ik,Cou (Sig ure of applicant) erm EScDires MarcA P3P,- 3. Nature of work (check which applicable): New Building ........ .. Addition .................. Alteration .................. Repair .................... Removal .................... Demolition.................... Other Work (Describe) ........................ h. Estimated Cost :.5?�..................Fee .......................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..............................Number of dwelling units on each floor .... ....T.z........... If garage, number of cars .....................2 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front.......................... Rear .......................... Depth .............................. Height ............................ Number of Stories ............................................................................................................. Dimensions of some structure with alterations or additions: Front ................................ Rear ................................ Depth ............................ Height ................................Number of Stories ........................................ 8. Dimensions of entire new construction: Front................ .. *.Rear....... .......G�;.�......... Depth ......x:�..�. . r ........... .......... Height ..............�.�. ....... Number of Stories..............�.�Z .............. 1 '3 5 /.................. !9 9. Size of lot: Front ................................ Rear .......... 9D Depth .........�............................ 10. Date of Purchase ........................................................Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated...................................�a............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ........4.,�U....L..................................... lop 13. Name of Owner of premises .. 4.5. .1.... .��...........Address ..0 /yes.. NeGk,..So�f hone No. .................... Name of Architect ......................................................Address ......................./....................... Phone No. .................... Name of Contractor ..� .ev.........Ob. c: .................Address .........Cu. Ldg.t e..,....... Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. 135 /r yI ,_ r � 35"2 v3 Y zz 2 15r 2G� 2'-17 l av I� v f� 3 STATE OF NEW YORK, ) S.S. - COUNTY OF ............................) . . ....................................being duly sworn, deposes and says that he is the applicant (N.am�e d9 individual signing application) Q abovenamed. He is the ...............................................................G7 '-�. ................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge end belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to be�fge me this / g2l .. .. ..��.../-.T:. �„1. ... .......'N T ;State.pfrfVe . day of ....... .. .. :........ ... 19.... d10N A. RECENI �� Pees yr...cavN ....... . .............. . .. ......................... Notary Publi Gfh. e..c n ........ ... r���..a rm i 3 20 swr ik ctnus� (Sig, ture of applicant) I l 1 �e March 3P,